HomeMy Public PortalAbout5414 BALDWIN AVE_Plumbing__ l �\
m
76Asa, APPLICATION FOR PLUMBING PERMIT 1
DB9 I"DIVISION OF BUILDING AND SAFETY
Depmxtment of County Engmeer
County of Los Angeles BUILDING `
JOHN A LAMBIE COUNTY ENGINEER ADDRESS ,J
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY T4gA40je
FOR APPLICANT TO FILL IN I NEAREST
c CROSS ST
OWNER SC /L.�i/1/G DISTRICT NQ--i GROUP READY FOR INSPECTION
MAIL /
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER *Ji VV l & INSPECTION RECORD
ADDRE S��L( � b R f►��P J
CITY /1J( 1i TEL NO L�ttiYi
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM I FEE
WATER CLOSET (TOILET) @ $1 00 60
BATH TUB @ $1 00
SHOWER @ $100
/ LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00 b0
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00 0
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 O
GAS SYSTEM @ $100 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
O GAS PIPING
TOTAL FEE 00
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER /S t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ��� ew-,1" �j",01
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA OP Y �
SIGNATURE
OF PERMITTEE , FINAL
JOHN A LAMBIE C UN Y ENGINEER �1,PiLIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
0 CASH
l 3063, me 5 3 800 m
0 . � r,&
DEIS 17 10 58 APPLICATION FOR PLUNKING PERMIT 1
DBS 17
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County Of Los Angeles BUILD I NG
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
/ CROSS ST
OWNER C4 n 1 DISTRICGROUP N READY FOR INSPECTION
MAIL 04LA
JL
ADDRESS B
CITY TEL NO ` INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 5
BATH TUB @ $1 00
SHOWER @ S100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00 L)
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE y6 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E
PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTA-
L
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF (
CALIFORNIA OR THAT 1M THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OPE
SIGNATURE
OF PERMITTEE FINAL
JOHN A L.AMBIE COUNTY ENGINEER ��/ALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK N O CASH
;Jo2 5 7 9�R PSV 20 3 200
c ' wt"(�'